0000000000764103

AUTHOR

Dominique Bettex

showing 10 related works from this author

Mid-term results of zone 0 thoracic endovascular aneurysm repair after ascending aorta wrapping and supra-aortic debranching in high-risk patients

2017

Objectives Surgical repair of aneurysmal disease involving the ascending aorta, aortic arch and eventually the descending aorta is generally associated with significant morbidity and mortality. A less invasive approach with the ascending wrapping technique (WT), supra-aortic vessel debranching (SADB) and thoracic endovascular aneurysm repair (TEVAR) in zone 0 was developed to reduce the associated risk in these patients. Methods During a 10-year period, consecutive patients treated by the ascending WT, SADB and TEVAR in zone 0 were included. All patients were considered at high risk for conventional surgery. Measured outcomes included perioperative deaths and morbidity, maximal aortic trans…

MaleAortic archTime FactorsComputed Tomography AngiographyAneurysm; Arch; Ascending; Debranching; TEVAR; Wrapping; Surgery; Pulmonary and Respiratory Medicine; Cardiology and Cardiovascular Medicinemedicine.medical_treatmentWrapping030204 cardiovascular system & hematologyEndovascular aneurysm repairPostoperative Complications0302 clinical medicineRisk FactorsAscendingThoracic aorta030212 general & internal medicineAortaAged 80 and overTEVAR10042 Clinic for Diagnostic and Interventional RadiologyEndovascular ProceduresMiddle Aged2746 SurgeryItalyDescending aortaCardiologyFemaleCardiology and Cardiovascular MedicinePulmonary and Respiratory Medicinemedicine.medical_specialty10216 Institute of Anesthesiology610 Medicine & healthArch2705 Cardiology and Cardiovascular Medicine03 medical and health sciencesAneurysmBlood vessel prosthesismedicine.arteryInternal medicineAscending aortamedicineHumansAgedAortaAortic Aneurysm Thoracicbusiness.industryDebranchingmedicine.diseaseAneurysmBlood Vessel ProsthesisSurgery10020 Clinic for Cardiac Surgery2740 Pulmonary and Respiratory MedicineSurgeryMorbiditybusinessFollow-Up Studies
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Mid- and Longer-term Follow up of Chimney and/or Periscope Grafts and Risk Factors for Failure

2016

Objective The aim was to report on chimney and periscope grafts (CPGs) and their mid- and longer-term outcomes when they are used to preserve reno-visceral artery (RVA) perfusion in endovascular repair of pararenal (PRAAs) or thoraco-abdominal aortic aneurysm (TAAAs). In addition, factors associated with CPG failure are presented. Limited data exist on the outcomes of CPGs, and mid- and long-term results are generally not reported. Methods This was a prospective study in a cohort of 100 patients with PRAA (69) or TAAA (31). A total of 224 (mean 2.24 per patient) RVAs were preserved with 136 (61%) chimney and 88 (39%) periscope grafts. CPGs were constructed mainly using self expandable stent…

MalePercutaneousmedicine.medical_treatment030204 cardiovascular system & hematologyEndovascular aneurysm repairSettore MED/22 - Chirurgia VascolareAortic aneurysm0302 clinical medicineRenal ArteryRisk FactorsOcclusion030212 general & internal medicineTreatment FailureProspective cohort studyAortaPararenal aortic aneurysm10042 Clinic for Diagnostic and Interventional RadiologyReno2746 SurgeryAortic AneurysmFemaleRadiologyCardiology and Cardiovascular Medicinemedicine.medical_specialty610 Medicine & health2705 Cardiology and Cardiovascular Medicine03 medical and health sciencesEndovascular aneurysm repairabdominal aortic aneurysmAneurysmChimney and periscope graftChimney and periscope graft; Complex aortic aneurysm; Endovascular aneurysm repair; Pararenal aortic aneurysm; Reno-visceral arteries; Thoraco-abdominal aortic aneurysm; Cardiology and Cardiovascular Medicine; SurgerymedicineHumansAgedRetrospective StudiesReno-visceral arterieThoraco-abdominal aortic aneurysmbusiness.industryComplex aortic aneurysmStentRetrospective cohort studyThoracomedicine.diseaseSurgeryvisceral arteriesSurgeryVascular GraftingbusinessFollow-Up Studies
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Outpatient endovascular aortic aneurysm repair: Experience in 100 consecutive patients

2013

OBJECTIVES:: To present the safety, feasibility, costs, and patient satisfaction of outpatient endovascular aneurysm repair (EVAR). BACKGROUND:: Our experience in more than 1000 patients indicated that in technically uncomplicated EVAR procedures, the only need for hospitalization was for access vessel complications (bleeding or occlusion) requiring secondary procedures. These complications could always be identified within the first 3 hours after EVAR. METHODS:: Two-center retrospective analysis of prospectively gathered data on 100 consecutive elective outpatient EVAR cases (Outpt EVAR). Inclusion criteria for Outpt EVAR were as follows: asymptomatic clinical state, informed consent, trav…

Malemedicine.medical_specialtyPercutaneousmedicine.medical_treatment610 Medicine & healthEndovascular aneurysm repairSettore MED/22 - Chirurgia VascolareBlood Vessel Prosthesis ImplantationPostoperative ComplicationsPatient satisfactionAmbulatory CareHumansMedicineOutpatient clinicLocal anesthesiaambulant day endovascular aneurysm repair EVAR fast-track outpatient surgeryAgedRetrospective StudiesAged 80 and overbusiness.industry10042 Clinic for Diagnostic and Interventional RadiologyEndovascular ProceduresStentMiddle AgedVascular surgerymedicine.diseaseSurvival AnalysisSurgery10020 Clinic for Cardiac Surgery2746 SurgeryStenosisTreatment OutcomeCosts and Cost AnalysisFemaleSurgerybusinessAortic Aneurysm Abdominal
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SS8. Chimney and Periscope Grafts: Mid-term Results in 77 Consecutive Patients with Complex Aortic Aneurysms

2012

Author Disclosures: N. D. Andersen: Nothing to disclose; G. Hughes: W.L. Gore and Associates,Research Grants W.L. Gore and Associates, Consulting fees or other remuneration (payment) W.L. Gore and Associates, Speaker’s bureauMedtronic Vascular, Consulting fees or other remuneration (payment) Medtronic Vascular, Speaker’s bureauVascutek Terumo, Consulting fees or other remuneration (payment) Vascutek Terumo, Speaker’s bureau; R. L. McCann: Nothing to disclose; A. A. Shah: Nothing to disclose; J. B. Williams: Nothing to disclose.

Nothingbusiness.industrymedia_common.quotation_subjectRemunerationMid term resultsMedicineSurgeryPaymentbusinessCardiology and Cardiovascular Medicinemedia_commonManagementJournal of Vascular Surgery
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Chimney and periscope grafts observed over 2 years after their use to revascularize 169 renovisceral branches in 77 patients with complex aortic aneu…

2013

^ ^Purpose: To evaluate the performance of periscope and/or chimney grafts (CPGs) in theendovascular treatment of pararenal or thoracoabdominal aneurysms using off-the-shelfdevices.Methods: Between February 2002 and August 2012, 77 consecutive patients (62 men; meanage 7369 years) suffering from pararenal aortic (n¼55), thoracoabdominal (n¼16), or arch tovisceral artery aneurysms (n¼6) were treated with aortic stent-graft implantation requiringchimney and/or periscope grafts to maintain side branch perfusion. CPGs were planned inadvance and were not used as bailout. A standardized follow-up protocol includingcomputed tomographic angiography, laboratory testing, and clinical examination wasp…

MaleAortic archmedicine.medical_specialtyTime FactorsEndoleakmedicine.medical_treatment610 Medicine & healthKaplan-Meier EstimateProsthesis DesignAortographyEndovascular aneurysm repair2705 Cardiology and Cardiovascular MedicineBlood Vessel Prosthesis ImplantationAortic aneurysmAneurysmBlood vessel prosthesismedicine.arterymedicineHumans2741 Radiology Nuclear Medicine and ImagingRadiology Nuclear Medicine and imagingRenal arteryVascular PatencyAgedRetrospective StudiesAged 80 and overAortic Aneurysm Thoracicmedicine.diagnostic_testbusiness.industry10042 Clinic for Diagnostic and Interventional RadiologyEndovascular ProceduresMiddle Agedmedicine.diseaseBlood Vessel ProsthesisSurgery10020 Clinic for Cardiac Surgery2746 SurgeryTreatment Outcomemedicine.anatomical_structureAngiographyFemaleStentsSurgeryRadiologyTomography X-Ray ComputedCardiology and Cardiovascular MedicinebusinessAortic Aneurysm AbdominalArtery
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EVAR IN OUT CLINIC PATIENTS: IS IT FEASIBLE AND SAFE?

2013

Introduction Only little is known about endovascular aneurysm repair (EVAR) performed as an outpatient procedure. We report here a two-center (Middelares Hospital, Antwerp (Deurne), Belgium and University Hospital Zurich, Switzerland) experience in 104 EVAR patients of which a group of 52 patients have been treated on an outpatient (out-EVAR) basis and compared to a matched group of 52 patients that have been treated as inpatients (in-EVAR). Methods Selection criterions for out-EVAR were: informed consent, travel time to the hospital if readmission was required of <30-60 minutes, and technically uncomplicated EVAR. Most out-EVAR has been treated percutaneous. In-EVAR patients consisted in a…

outclinic610 Medicine & healthEVARSettore MED/22 - Chirurgia Vascolare10020 Clinic for Cardiac Surgery
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Early outcomes with a single-sided access endovascular stent

2018

Abstract Objective The objective of this study was to report the 1-year follow-up study results of the new Horizon stent graft (Endospan, Herzliya, Israel) from two different prospective consecutive trials. The Horizon abdominal aortic aneurysm stent graft system is a 14F profile system requiring only a single access site. It consists of three modules, introduced separately: base limb (iliac to iliac limb); distal aortic limb; and proximal aortic limb with a bare suprarenal crown and active fixation. Methods Data from the first in man (FIM) clinical study with 10 patients enrolled and the pivotal study with 30 patients were analyzed. Outcomes measured were freedom from major adverse events …

Malemedicine.medical_specialtyTime FactorsTime Factormedicine.medical_treatment030204 cardiovascular system & hematologyProsthesis DesignAortographySettore MED/22 - Chirurgia Vascolare03 medical and health sciencesAortic aneurysmBlood Vessel Prosthesis ImplantationPostoperative Complications0302 clinical medicineAneurysmBlood vessel prosthesismedicineStentHumansAged; Aortic Aneurysm Abdominal; Aortography; Blood Vessel Prosthesis Implantation; Endovascular Procedures; Europe; Female; Humans; Male; Middle Aged; Postoperative Complications; Prospective Studies; Prosthesis Design; Time Factors; Tomography X-Ray Computed; Treatment Outcome; Blood Vessel Prosthesis; StentsProspective Studies030212 general & internal medicineStrokeAgedEndovascular Procedurebusiness.industryEndovascular ProceduresStentPerioperativeMiddle Agedmedicine.diseaseBlood Vessel ProsthesisSurgeryEuropeProspective StudieBlood Vessel ProsthesiTreatment OutcomeStentsFemaleSurgeryPostoperative ComplicationParaplegiabusinessTomography X-Ray ComputedCardiology and Cardiovascular MedicineAbdominal surgeryAortic Aneurysm AbdominalHuman
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Treatment of isolated ascending aortic aneurysm by off-pump epiaortic wrapping is safe and durable.

2016

OBJECTIVES: Isolated ascending aortic aneurysm (iAA) is usually treated by open graft repair requiring sternotomy, cardiopulmonary bypass (CPB) and cardioplegia. This approach carries significant mortality in older patients or those presenting with comorbidities. We report an original series of patients presenting with iAA and treated with epiaortic wrapping by using a synthetic mesh. This less invasive aortic repair technique allows reducing the aortic diameter to a predefined value and is performed without CPB. METHODS: Data from patients presenting with an iAA and treated with the wrapping technique (WT) by polypropylene/polyester mesh from November 2006 to July 2015 were collected. The …

Aortic valveMaleTime Factors030204 cardiovascular system & hematologySettore MED/22 - Chirurgia Vascolarelaw.inventionAortic aneurysm0302 clinical medicinelawAorta10042 Clinic for Diagnostic and Interventional RadiologyMedicine (all)Middle Aged2746 Surgerymedicine.anatomical_structureTreatment OutcomeWrapping girdlingFemaleCardiology and Cardiovascular MedicineVascular Surgical ProceduresPulmonary and Respiratory Medicinemedicine.medical_specialtyOffOff-pump610 Medicine & healthProsthesis Design2705 Cardiology and Cardiovascular MedicineGraft repair03 medical and health sciencesAneurysmBlood vessel prosthesismedicine.arteryAscending aortamedicineCardiopulmonary bypassHumansAortic valve insufficiency; Ascending aorta; Graft repair; Mesh (polypropylene/polyester); Off-pump; Wrapping girdling; Surgery; Medicine (all); Pulmonary and Respiratory Medicine; Cardiology and Cardiovascular MedicineAgedRetrospective StudiesAortaAortic Aneurysm Thoracicbusiness.industryPerioperativemedicine.diseaseSternotomySurgeryBlood Vessel Prosthesis030228 respiratory systemAortic valve insufficiency2740 Pulmonary and Respiratory MedicinepumpSurgeryAscending aortaMesh (polypropylene/polyester)businessFollow-Up StudiesInteractive cardiovascular and thoracic surgery
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European Association of Cardiothoracic Anesthesiology and Intensive Care Pediatric Cardiac Anesthesia Fellowship Curriculum: First Edition.

2022

International audience; Pediatric cardiac anesthesia is a subspecialty of cardiac and pediatric anesthesiology dedicated to the perioperative care of patients with congenital heart disease. Members of the Congenital and Education Subcommittees of the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) agreed on the necessity to develop an EACTAIC pediatric cardiac anesthesia fellowship curriculum. This manuscript represents a consensus on the composition and the design of the EACTAIC Pediatric Cardiac Anesthesia Fellowship program. This curriculum provides a basis for the training of future pediatric cardiac anesthesiologists by clearly defining the theoretic…

medicine.medical_specialtyCritical Care[SDV]Life Sciences [q-bio]educationMEDLINESubspecialty03 medical and health sciences0302 clinical medicine030202 anesthesiologyPediatric anesthesiologyAnesthesiologyIntensive careAnesthesia Cardiac ProceduresMedicineHumansFellowships and Scholarships610 Medicine &amp; healthChildCurriculumCardiothoracic anesthesiologybusiness.industryGeneral surgery030208 emergency & critical care medicine3. Good healthCardiac AnesthesiaAnesthesiology and Pain MedicinePerioperative carecardiovascular systemCurriculumCardiology and Cardiovascular MedicinebusinessJournal of cardiothoracic and vascular anesthesia
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Early endovascular aneurysm repair after percutaneous coronary interventions

2015

Objective The objective of this study was to report long-term results of early endovascular aortic aneurysm repair after percutaneous coronary intervention (PCI). Methods This was a retrospective analysis of all patients presenting with abdominal aortic aneurysm and coronary artery disease treated during the same hospitalization by endovascular aortic aneurysm repair performed soon after PCI. Primary outcomes were perioperative mortality, perioperative complications, survival after treatment, and freedom from reintervention. Results A total of 20 patients were included, and all completed both procedures. No deaths or abdominal aortic aneurysm ruptures occurred between the PCI and the aortic…

Malemedicine.medical_treatmentCoronary DiseaseComorbidityEndovascular aneurysm repairSettore MED/22 - Chirurgia VascolareCoronary artery diseaseAortic aneurysmPostoperative ComplicationsRisk FactorsRetrospective StudieCause of DeathMyocardial infarctionHospital MortalityAged; Aged 80 and over; Aortic Aneurysm Abdominal; Cause of Death; Combined Modality Therapy; Comorbidity; Coronary Disease; Follow-Up Studies; Hospital Mortality; Humans; Italy; Male; Middle Aged; Postoperative Complications; Reoperation; Retrospective Studies; Risk Factors; Survival Rate; Early Medical Intervention; Percutaneous Coronary Intervention; Cardiology and Cardiovascular Medicine; Surgery; Medicine (all)Aged 80 and overMedicine (all)Middle AgedCombined Modality TherapyAbdominal aortic aneurysm2746 SurgerySurvival RateItalycardiovascular systemCardiologyCardiology and Cardiovascular MedicineHumanReoperationmedicine.medical_specialty10216 Institute of Anesthesiology610 Medicine & health2705 Cardiology and Cardiovascular MedicineFollow-Up StudiePercutaneous Coronary InterventionInternal medicineEarly Medical InterventionmedicineHumanscardiovascular diseasesRetrospective StudiesAgedbusiness.industryRisk FactorPercutaneous coronary interventionPerioperativemedicine.disease10020 Clinic for Cardiac SurgerySurgeryConventional PCISurgeryPostoperative ComplicationbusinessFollow-Up StudiesAortic Aneurysm Abdominal
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